Search Results

Searching: insurance denials
Results: 40,839
Displaying 251-300 of 40839
4 5 6 7 8
Page 6 of 817
Message Board (37849)
Dentaltown Magazine (455)
Podcasts (815)
Blogs (1565)
Message Board
Views: 417 | Replies: 15
. Getting denials is the worst one, because it does nothing to solve the denial problem. Instead, focus on how to avoid denials. Then if you want to drop, go for it and have happier patients who's insurance still pays out benefits. As a former claim review consultant - send me everything and I can
September 18, 2025
Claims Processing
Message Board
Views: 4198 | Replies: 233
. But to many times employees complain about this and that...and then when they realize how much a new cavitron is with new tips and calling a repair guy in and then getting denials from insurance- they understand that business is not that easy. NO FD and no CDA? Even better. When patients cancel
September 01, 2025
Staff Management Issues
Message Board
to pay for treatment or not. We've all had patients suffer from indecision, or denials for insurance companies and not following through with payment because it's not covered. Patients who buy into, the insurance is the primary way to pay for dental needs. Nonetheless, it would be helpful to see
May 09, 2017
CE Comments / Suggestions / Events
Message Board
Views: 166 | Replies: 4
with some discount and no response.Appealed to insurance since their reps gave conflicting answers.Appeal denied again with patient responsibility listed as zero.Does FL law allows to bill patient Full or ppo fee for denial due to frequency?How can an insurance company dictate to collect zero from
May 22, 2025
Claims Processing
Message Board
Views: 1295 | Replies: 34
medical billing since so many insurances require a medical denial prior to considering processing claims. 10. Ladies and Gentleman we are definitely heading towards a major industry change, it is anticipated that by 2021 Medicare will be the main clearing house for all claim submissions and work
September 28, 2017
Claims Processing
Message Board
Views: 2874 | Replies: 54
from over ordering and theft, she quit when she didn't like the new checks and balances put in place....the book keeper was not re-filing insurance claim denials, just writing them off or depositing the money into the previous owners account. SIGN everything yourself, no signature stamp, deposit
September 07, 2014
Future Planning General Discussions
Message Board
Views: 353 | Replies: 11
to proceed or not. The pictures and narrative looks like an instant denial, especially since you said erosion and attrition. Never utter those words to an insurance company. Yea, no way insurance is going to pay. Bad for patients . We all have many cases where crowns can treat these . Fillings
March 19, 2025
Claims Processing
Blog
administrative burden, and enhance overall efficiency. What Are Dental Billing Services? Dental billing services involve managing and processing insurance claims, patient billing, payment posting, and revenue cycle management. These services ensure that dentists get reimbursed accurately and on time, minimizing
March 26, 2025
by Anass Habrah
Message Board
Views: 889 | Replies: 46
. Are they denials or requests for more information? As for the chipped tooth, if you can consider it more cosmetic than decay, you should be billing the patient 100% and leaving insurance out of it. Post the x-rays. So for the chipped tooth he had severe attrition so replaced a part that chipped.So am I stuck
March 27, 2025
Delta Dental
Message Board
Views: 373 | Replies: 16
of a pain it is for the front desk to deconflict vs the other typical insurance metrics such as write-offs, denials, and the normal games they play. I think a lot of this will come down to how well its set up in our PMS. I'll have to build out accurate fee schedules for network coverage and then attach
February 12, 2021
Going Out of Network
Message Board
Views: 80 | Replies: 2
trigger a denial evenafterapproval? And how soon is too soon to consult an attorney? How confident are you in your current disability coverage, and what do you wish youd known earlier? Drop your thoughts below Disability Insurance Roulette with Edward O. Comitz
July 31, 2025
Disability Insurance
Message Board
Views: 281 | Replies: 23
at the insurance company. Any tips on how I can show the reviewing dentist that there is evidence of bone loss on these radiographs??? Perio is #1 denied procedure in dentistry from my own past experience. Not sure if thats still true today. Never got fillings, ext, or RCT denied. Can you post
December 04, 2024
Claims Processing
Message Board
Views: 5189 | Replies: 190
. It is no surprise that we can not stand up to the insurance bullying. We are not strong enough nor are we united enough. The only weapon we have is our knowledge to beat the insurances at their own game. Enjoy the enclosed are article on insurance bullying and claim denials. Hopefully, you can grow your own
August 09, 2018
Delta Dental
Message Board
Views: 3539 | Replies: 105
We have threads for patients I want to punch in the face, threads griping about assistants and doctors and hygienists alike, and I have been seeing so many ridiculous insurance EOB's coming back with denials and had many interesting phone calls that I felt this thread was appropriate. I tried
July 03, 2014
Front Office Discussion
Message Board
Views: 651 | Replies: 26
, these are pre-op x-rays and that was all listed in the narrative so I'm just at a loss. I have reached the point with UHC that other than a filling everything gets a pre-auth. This past year they have really screwed me over. I hate them. Deleted my negative comment about insurance companies. Do you have
July 16, 2024
Claims Processing
Message Board
Views: 3261 | Replies: 173
even 50-50 among dentists suggests the insco should not have denied it based on pictures, its quite ridiculous that they can make a claim with certainty when other dentists cannot. ask to speak with the denial doctor? report to insurance commissioner for refusing to pay?How long until inscos start
January 09, 2014
Restorative Dentistry
Message Board
Views: 592 | Replies: 23
about insurance issues; claims, pre auth, denial, coverage, yearly limits, posting payments and so on. I think ADA have some online courses for that. 2- Watch some good you tube videos about how to take X rays with the sensor and practice on family member. You can also buy a typodont with real
February 22, 2024
Practice Start-Up
Message Board
Views: 3057 | Replies: 97
. Secondarily, we discussed the broader concepts of if insurance companies are illegally engaging in the practice of dentistry and/or influencing treatment, and potentially in breach of contract. As we know, down coding and claim denial is a widely used tactic applied to thousands of claims, daily. Most
January 27, 2019
Restorative Dentistry
Message Board
Views: 218 | Replies: 4
contact the insurance company and ask to have a consultant respond as to why the crown was not covered.Once you find out the reason for denial you will be in a better position to write a narrative or speak with a consultant directly. This is why it is always advisable to preauthorize prosthodontics
March 14, 2024
Claims Processing
Message Board
Views: 223 | Replies: 12
? For this you will want to investigate what are the reasons for the denials, requests for more information, etc. You can find patterns and avoid them. Example: SRP or Cr/BU are common denials that more have to do with you than insurance. They want to see far more detailed documentation than most
July 17, 2023
Claims Processing
Message Board
Views: 353 | Replies: 5
Delta Dental of Washington FINED $130K for Improper Claim Denials What the audit caught: 1 Delta Dental of Washington and its HCBM, Wyssta, were fined for violating state insurance laws, including denying claims based on terms that were not filed or approved by the Office of the Insurance
December 19, 2024
Delta Dental
Message Board
Views: 2340 | Replies: 48
center if informed by the patient or OS. Or conversely state that the diagnostic image is not a covered benefit and the patient is responsible for the charges. Their letter indicates that a pano does fall within acceptable images that the plan covers. The OS challenged the denial and the insurance
December 01, 2014
Legal Issues
Message Board
Views: 417 | Replies: 6
Hello all, I am sure this has been talked about ad nauseam but does anyone have any recommendations for a 3rd party company to take over my insurance claims and billing. I am OON with all insurance companies, I am a Dentrix user, and I do not like Henry Schein so E assist is out of the question
May 04, 2025
Billing
Message Board
Views: 230 | Replies: 8
Denials are going up over all the insurances we take. I am conservative so they have all been unfounded. Any specific verbiage that helps getting them processed. more than 50% of the clinical crown missing has come up a few times. I haven't specifically said it but the radiographs show it. Our
September 19, 2023
Claims Processing
Blog
, and revenue generation within a healthcare setting, and it involves everything from patient registration to the final reimbursement. By implementing efficient RCM processes, dental practices can reduce overhead costs, improve cash flow, and avoid common billing issues that can lead to claim denials
February 03, 2025
by teethexpert
Message Board
Views: 134 | Replies: 3
Dentaquest working on behalf of wellcare ppo just sent me a denial stating that I only had 60 days to appeal their initial denial. I will check my state laws as this seems illegal to me but, has anyone else encountered such a policy? Maybe Dentaquest has some way around things because
May 14, 2024
Claims Processing
Message Board
Views: 17741 | Replies: 1414
is is crazy does, thats just hitting the insane patient jackpot and its a tragedy, it could happen to a dentist that offers free dentistry 1 day/week, every week to their poorest pts, vs the multimillionaire CEO of a major insurance company with some of the highest rates of denials, but yea... Im
December 05, 2024
Dental Insurance for Dentists
Message Board
Views: 149 | Replies: 4
Has anyone had this happen? This puts the dentist in a really crappy situation. We got a denial from Delta saying the bone graft we placed 3 weeks after extraction was a non-covered benefit (immediate bone graft is covered) because it is now considered an edentulous site! So what, now we just have
June 26, 2025
Delta Dental
Blog
getting denials on the buildup? What is it? Most of the time, the reason your buildup is being denied is because they require it to be on a seat date, not on the prep date. And if you will submit the seat date with it, you usually will get those buildups done. But calling the insurance company, finding
August 15, 2024
by The Dental A Team
Blog
Claims are denied by insurance companies daily for many different reasons. But one reason in particular, the Timely Filing Period denial, is certainly one that can and should be avoided at all costs. All insurance companies have a Timely Filing Period in regards to claims they receive must
November 14, 2019
by Davy Clay
Message Board
Views: 181 | Replies: 10
so you also have to pull patient aging reports. A lot of times a denial can easily be taken care of with a narrative/appeal. Essentially you have to stay on top of everything yourself. Other thing is that you have got to make sure all the insurance stuff (missing tooth clause etc etc) is verified
August 01, 2021
Claims Processing
Message Board
Views: 245 | Replies: 3
with that error message. We have talked to several people about this at Delta and no one can tell me what is wrong! They all say my provider file is fine! I am thinking about filing a claim with the Miss. state insurance commission but I don't want to piss them off. Anybody got any ideas
March 06, 2015
Claims Processing
Message Board
Views: 2367 | Replies: 186
comes purely from insurance claims, denials, filing, time, delays, etc. If insurance dropped all the BS and just paid claims sent, most of us could easily drop our fees across the board. But I will draw the line at saying that we should accept completely bogus numbers that insurance companies
June 09, 2014
May 2014
Message Board
Views: 178 | Replies: 5
I always hear people say to take advantage of your associateship to learn the business side of things, insurance, etcWhat are some questions about insurance I should be asking? Our insurance coordinator is open to teaching me.Thank you! It's hard to learn as an associate, you'll have to pay
December 30, 2024
Dental "Pearls"
Message Board
Views: 248 | Replies: 4
Over the past few years, I have only had issues with denials resulting from one consulting company - P&R Dental Strategies. I am beyond frustrated and have considered dropping any company who uses them for consulting. Has any one else had any experiences with them? I have spent countless hours
January 30, 2024
Claims Processing
Message Board
Views: 576 | Replies: 19
I have about 2000 active patients and see a lot of emergencies...some things are simple as floss stuck between teeth, or a small edge on tooth that needs smoothing.. I usually code these as 9110---paliative minor emergency. But of course DD is giving me a lot of denials . How do you all write
May 07, 2025
Front Office Discussion
Message Board
Views: 240 | Replies: 9
Hi, townies If SRP (D4341) was denied by insurance, can I submit a new claim by using D4342 (1-3 teeth SRP)? thanks What was the denial reason? If the reason is because only 1-3 teeth need SRP, then yes you can resubmit (and should've submitted 4342 initially). If the denial reason is something
January 06, 2022
Claims Processing
Message Board
Views: 146 | Replies: 4
I've never encountered this situation before, but I have a patient requesting to pay cash for a procedure instead of using their dental insurance and having us submit a claim. Can a patient make this decision, and are we required to honor it? Or, if they have insuranceregardless of whether
April 02, 2025
Claims Processing
Message Board
Views: 190 | Replies: 11
Hi,Most insurance claims are routine and get paid with little hassle. I'm looking for some support for those claims that are denied/problem claims that I just don't have the time nor desire to deal with. Is there a company that will provide an a la carte service like this? Your front desk
January 07, 2020
Claims Processing
Message Board
Views: 99 | Replies: 3
Hi all, new owner here. I hope someone can help me with the claims for wisdom teeth extractions. Delta wants us to bill medical insurance first and send their EOB to Delta so they can process the claim. For people who are successfully sending claims for wisdom teeth removal, can you please chime
December 13, 2023
Claims Processing
Message Board
Views: 195 | Replies: 2
to support a claim for SCRP. Claim denials for SCRP are on the rise today because insurance companies need to see good clinical notes in the form of SOAP with proper (per insurance company requirement) documentation to support the diagnosis. The most typical requested documentation is the following: Full
August 09, 2016
Claims Processing
Message Board
Views: 751 | Replies: 10
In 2022 and 2023, I have seen an increase in claim denials with this reasoning as a processing policy: 26 CFR 1.401(a)-13 - Assignment or alienation of benefits. It means the insurance will process the claim as they please, and you, as the OON provider, have no right to appeal their decision
February 26, 2023
Claims Processing
Message Board
Views: 598 | Replies: 24
of the insurance breakdown as to whether impacted wisdom teeth can be submitted directly to dental or need a medical denial first. This is no big deal other than you must wait to get the info back from the medical side. However, in some cases this turns out to be a boost for your practice. Medical tends
March 15, 2024
Delta Dental
Message Board
Views: 98 | Replies: 2
We got this breakdown from delta dental which specifically says D7220, D7230, D7240 and D7241- If covered, it should be billed out to medical insurance first? Do you see this often? We don't bill to medical so only option is don't see the patient because patient made appointment due to wisdom teeth
May 09, 2023
Delta Dental
Message Board
Views: 53 | Replies: 1
the Texas Department of Insurance due? Do I have an argument they wouldn't return a phone call? Just trying to see what actual options remain. Thanks for anyone who can offer a piece of advice! Can you post what you sent in the claim? MOST SRP claim denials come down to missing information or poor
February 26, 2024
Claims Processing
Message Board
Views: 57 | Replies: 1
Wanted to get an opinion on this topic, as I am at loggerheads with the hygienist in the office I work. My issue is the diagnostic criteria for perio and what insurance companies view as requirements as we are getting an astounding number of denials for soft tissue management. The gray areas I am
January 31, 2025
Periodontics
Message Board
Views: 3713 | Replies: 195
. No debt , no hurry. Amen. The reason we tell folks we accept their insurance is because we do. We take assignment and work damn hard verifying insurance, submitting claims and dealing with denials. It would be remarkably awkward to tell prospective patients yes we accept your insurance but you can
December 09, 2023
Going Out of Network
Message Board
Views: 3288 | Replies: 93
- do so with legal counsel before proceeding. how is sending a pre-estimate for needed treatment doing anything wrong? ok, we expect the insurance to send back a denial because their records should show treatment already done... unless they don't show treatment done ... and in that case can't you
April 26, 2018
Practice Management & Administrative Forum
Message Board
Views: 176 | Replies: 8
Ameritas has denied a claim we sent them because they said they received the claim 90 days after date of service. Has anyone had this happen before. I did not know there was such a short time limit. And I've had insurance companies ask for money back 2 years after a claim was paid. It's a f^cked up
May 24, 2018
Claims Processing
Message Board
Views: 9960 | Replies: 257
be an office... We have learned that we are PPO providers only for companies that allow online eligibility and verification, accept electronic attachments and claims, and pay within 7-10 days for standard claims. Now the other BIG issue with Insurance is denials and downcoding. Again
June 22, 2004
Practice Management & Administrative Forum
Displaying 251-300 of 40839
4 5 6 7 8
Page 6 of 817
Dentaltown Magazine
May 2026
Dentaltown Magazine May 2026 Read Current Issue Read Archived Issues
Sponsors
Townie Perks
Townie® Poll
What’s actually driving most of your new patient flow right now?
  
Site Menu
Message Boards Magazine Continuing Education Podcasts Pods & Blogs Classifieds Dental News Events Townie® Poll Ebooks Townie Choice Awards
Company Info
Contact Us Advertise With Us Howard Farran DDS, MBA Policies and Agreements
Site Help
The Dentaltown Team, Farran Media Support
Phone: +1-480-445-9710
Email: support@dentaltown.com
©2026 Dentaltown, a division of Farran Media • All Rights Reserved
9633 S. 48th Street Suite 200 • Phoenix, AZ 85044 • Phone:+1-480-598-0001 • Fax:+1-480-598-3450